Provider Demographics
NPI:1790541175
Name:DANCE, BRITTA LYNN (LMFT)
Entity Type:Individual
Prefix:
First Name:BRITTA
Middle Name:LYNN
Last Name:DANCE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26175 BIRCH BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-8318
Mailing Address - Country:US
Mailing Address - Phone:320-220-0946
Mailing Address - Fax:
Practice Address - Street 1:26175 BIRCH BLUFF RD
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-8318
Practice Address - Country:US
Practice Address - Phone:320-220-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125745106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist